| NPI | 1710191069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C CHANDLER Medical Director 919-401-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 31000) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2017-04-25 |